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6-6-86 <br />_I V} <br />THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS <br />PRODUCER <br />NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CERTIFICATE DOES NOT AMEND, <br />OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW. <br />I,LOyD INSUxARiCE AGENCQ a INC.EXTEND <br />P.o. BOX 659 <br />COMPANIES AFFORDING COVERAGE <br />ISOUTH BEND, IN 46624 <br />} <br />CLETTERNY Q Travelers YnSUKes�Ce COmpanp <br />COMPANY <br />LETTER 'Q <br />? <br />j INSURED <br />!� Northeast Neighbor Council <br />COMPANY <br />City of South Bend, Indiana <br />LETTER <br />COMPANY <br />I 803 Notre Dame Avenue <br />1 South Bead, IN 46617 <br />LETTER <br />COMPANY <br />LETTER <br />THIS IS TO CERTIFY THAT POLICIES OFWSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED, <br />ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY <br />NOTWITHSTANDING <br />BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS, AND CONDI- <br />TInMQ nG CI IrN Pr)l IrIFC <br />CO <br />LTR <br />TYPE OF INSURANCE <br />POLICY NUMBER <br />POLICY EFFECTIVE <br />DATE (MM+DaNY) <br />POLICY EXPIRATION I <br />DATE (MADDNY) <br />LIABILITY LIMITS IN THOUSANDS <br />EAURRCRENCE <br />OCC <br />AGGREGATE <br />1 A <br />GENERAL LIABIEr <br />X COMPREHENSIVE FORM <br />650-251F207-2-COF <br />6-24-85 <br />6-24-86 <br />BODILY <br />INJURY <br />$ 500 <br />$ 2 Mil <br />PROPERTY <br />DAMAGE <br />$ LO� <br />$ <br />PREMISESIOPERATIONS <br />UNDERGROUND <br />EXPLOSION & COLLAPSE HAZARD <br />PRODUCTSICOMPLETED OPERATIONS <br />CONTRACTUAL <br />81&PD <br />COMBINED <br />$ <br />$ <br />( <br />INDEPENDENT CONTRACTORS; <br />} <br />8ROAD FORM PROPERTY DAMAGE <br />jPERSONAL <br />f <br />INJURY <br />PERSONAL INJURY <br />$ <br />AUTOMOBILE <br />LIABILITYKURY <br />SLY <br />1 <br />i <br />ANY AUTO <br />ALL OWNED AUTOS (PRIV. PASS.) <br />rw <br />$ 500 <br />?. <br />} <br />Ri+ <br />HOIXLY <br />Rm <br />(OTHER <br />/ <br />ALL OWNED AUTOS I P <br />$2 $A1 <br />HIRED AUTOS <br />NON -OWNED AUTOS <br />650-251F207-2-COF <br />6-24-85 <br />5-24-86 <br />- <br />PROPERTY <br />DAMncE <br />$ 500 <br />el a PD <br />COMBINED <br />$ <br />jGARAGE <br />LIABILITY <br />EXCESS LIABILITY <br />UMBRELLA FORM <br />BI & PD <br />COMBINED <br />$ <br />$ <br />OTHER THAN UMBRELLA FORM(} <br />'1v 1 <br />STATUTORYWORKERS' <br />COMPENSATION <br />JUN <br />I�i 1$(EACH <br />ACCIDENANDWEMPLOYERS' JEMPLOYEE) <br />LIABILITYBO� <br />9OF PUBLIC If9 <br />RK.�$ <br />(DISEASE POLICn"Col $ (DISEASE -EACH <br />i <br />) <br />OTHER <br />} <br />DESCRIPTION OF OPERATIONSILOCATIONSNEHICLES!SPECIAL ITEMS <br />j <br />I <br />I._ . <br />- ADDITIONAL INSUMD • SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EX- <br />PIRATION DATE THEREOF, THE ISSUING COMPANY WILL ENDEAVOR TO <br />Neighhorhood Housing Service MAIL DAYS WRITTEN NOTICE TO THE CERTIFICATE HOLDER, NAMED TO THE <br />f, LEFT,19 AI <br />FAILURE TO MAIL SUCH NOTICE SHALL IMPOSE NO OBLIGATION OR LLABILr Y <br />(. B03 Notre Dame Avenue OF ANY KIND UPON THE COMPANY, ITS AGENTS OR REPRESENTATIVES. <br />South Bend, IN 46617 AUTHORIZED REPRESENTATIVE f /Z _;_� <br />